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Saif 801 fillable form 2010

Saif 801 fillable form 2010-2026

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The document is a guide for workers on how to file a workers' compensation claim for job-related injuries or illnesses. It includes instructions on completing the necessary forms, obtaining medical treatment, and understanding payment for lost wages. Additionally, it provides contact information for assistance and clarifies the use of Social Security numbers in the claims process.

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Click ‘Get Form’ to open the Saif 801 fillable form in the editor.
Begin by entering your claim number and subject date at the top of the form. This information is crucial for tracking your claim.
Fill in the worker's details, including your legal name, mailing address, social security number, and contact information. Ensure accuracy as this will be used for communication regarding your claim.
Provide details about the injury or illness. Specify the date, time, and nature of the incident. Be descriptive about what caused it and any tools or machinery involved.
Indicate if you have more than one job and provide relevant details about your employment status and work phone number.
Complete the employer section with their legal business name, contact information, and any other required details before submitting it back to them.

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Versions	Form popularity	Fillable & printable
2020	4.6 Satisfied (23 Votes)
2017	4.8 Satisfied (160 Votes)
2016	4.3 Satisfied (93 Votes)
2011	4.3 Satisfied (66 Votes)
2010	4 Satisfied (37 Votes)
2005	4 Satisfied (49 Votes)

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What is Form 801 in Oregon?

Fill out Form 801 Report of Job Injury or Illness and turn it in to your employer. Your employer should send it to its workers compensation insurance carrier within five days of your notice. Your employer should provide you this form.

How long do I have to file a workers comp claim in Oregon?

In Oregon, you have 90 days from the date of the injury to file a formal workers compensation claim. Its worth noting that the clock starts ticking from the moment youre injured or become aware of a work-related condition.

What are the rights of an injured worker in Oregon?

Injured workers in Oregon have the right to file a claim, seek medical care, and access benefits for time off. Oregons Workers Compensation Division has an informational video and an injured worker guide available online to help you get the immediate help you need.

What not to say to Workmans Comp?

What Not to Say to a Workers Comp Doctor Avoid Downplaying Your Injury: Dont minimize your pain or discomfort. Dont Speculate on Recovery Time: Do not make guesses about how quickly you will recover. Stay Away from Absolute Statements: Do not use words like always or never when describing your symptoms.